Sentara Martha Jefferson Hospital
500 Martha Jefferson Drive, Charlottesville, VA · Sentara · · NPI 1346248663
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,256.29 – $13,397.00 | 6 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,256.29 – $13,397.00 | 6 |
| Shoe heel new rubber standar HCPCS L3460 | $20.70 | $41.40 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $31.57 | $63.14 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,010.00 – $3,344.08 | 6 |
| Shortening of thigh bone CPT 27465 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $4,007.00 – $13,397.00 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Shorten radius & ulna CPT 25392 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,790.50 | $7,581.00 | $347.20 – $357.41 | 4 |
| Shoulder MRI (with contrast) CPT 73222 | $2,088.00 | $4,176.00 | $780.16 – $803.10 | 4 |
| Shoulder MRI (without contrast) CPT 73221 | $1,757.00 | $3,514.00 | $237.46 – $244.44 | 4 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $3,304.00 – $7,416.07 | 6 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $3,304.00 – $7,416.07 | 5 |
| Shoulder X-ray CPT 73030 | $237.00 | $474.00 | $86.61 – $89.15 | 4 |
| Shrinker prosth above knee HCPCS L8460 | $56.92 | $113.85 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $37.78 | $75.56 | not published | 0 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $104.04 – $107.10 | 4 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.46 – $21.41 | 5 |
| Sialography s&i CPT 70390 | $560.50 | $1,121.00 | $237.46 – $244.44 | 4 |
| Sialolithotomy 42330 CPT 42330 | $1,470.00 | $2,940.00 | $2,004.00 – $3,388.50 | 5 |
| Sickling rbc CPT 85660 | $29.50 | $59.00 | $5.62 – $9.25 | 5 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $925.49 – $1,547.00 | 6 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $925.49 – $3,276.00 | 6 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $925.49 – $1,547.00 | 6 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,190.90 – $4,314.00 | 6 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $2,610.00 | $5,220.00 | $2,004.00 – $6,204.64 | 6 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,004.00 – $4,314.00 | 6 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $925.49 – $3,276.00 | 6 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $925.49 – $1,547.00 | 6 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $58.71 – $60.44 | 4 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Simple cystometrogram 51725 CPT 51725 | $405.00 | $810.00 | $248.65 – $1,010.00 | 6 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $318.29 – $318.29 | 1 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $104.04 – $107.10 | 4 |
| Single transfer toe-hand CPT 26553 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,293.00 | $2,586.00 | $174.56 – $179.69 | 4 |
| Sinus CT scan (with contrast) CPT 70487 | $909.50 | $1,819.00 | $174.56 – $179.69 | 4 |
| Sinus CT scan (without contrast) CPT 70486 | $885.00 | $1,770.00 | $104.04 – $107.10 | 4 |
| Sinus/juglr venogram s&i CPT 75860 | $1,666.00 | $3,332.00 | $3,142.32 – $3,234.74 | 4 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $3,338.00 – $10,995.00 | 6 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,571.00 – $10,995.00 | 6 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $56,377.77 – $58,035.94 | 4 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $2.97 – $2.97 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $86.26 – $88.80 | 4 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $0.03 – $28.78 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.03 – $28.78 | 2 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Skin Biopsy CPT 11102 | $333.50 | $667.00 | $404.56 – $511.00 | 5 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,798.50 | $5,597.00 | $2,053.37 – $5,978.00 | 6 |
| Skin full graft add-on 15241 CPT 15241 | $1,620.00 | $3,240.00 | $511.00 – $3,304.00 | 2 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,053.37 – $3,895.00 | 6 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $511.00 – $3,304.00 | 2 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $6.85 – $29.56 | 5 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $2,680.16 – $2,680.16 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $178.31 – $209.77 | 5 |
| Sleep study attended CPT 95807 | $1,687.00 | $3,374.00 | $371.37 – $382.29 | 4 |
| Sleep Study (Polysomnography) CPT 95810 | $2,370.50 | $4,741.00 | $854.62 – $879.75 | 4 |
| Sleep study unattended CPT 95806 | $674.00 | $1,348.00 | $214.89 – $221.21 | 4 |
| Sleeve fing rolyan med HCPCS L3933 | $106.09 | $212.18 | not published | 0 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $37.78 | $75.56 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $57.44 | $114.89 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Slitting of prepuce CPT 54001 | $3,025.50 | $6,051.00 | $1,571.00 – $5,978.00 | 6 |
| Slp pure tone screening CPT 92551 | $96.50 | $193.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $58.71 – $60.44 | 4 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,223.00 – $3,317.79 | 4 |
| Small animal inoculation CPT 87003 | not published | not published | $17.18 – $28.22 | 5 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Small bowel endoscopy CPT 44382 | not published | not published | $902.63 – $3,276.00 | 6 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,909.69 – $4,314.00 | 6 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $902.63 – $3,276.00 | 6 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,909.69 – $4,314.00 | 6 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.